Individual provider Active NPI

Kent Zellefrow

  • Clinical Social Worker
  • McKeesport, PA
National Provider Identifier
1790727782
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015985 Issued in PA
Practice address
331 Shaw Ave
McKeesport, PA 15132-2918
Phone
(412) 675-8850
Fax
(412) 675-8452
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW015985 PA Primary

Addresses

Primary practice location

331 Shaw Ave
McKeesport, PA 15132-2918

Mailing address

1113 Hamil Rd
Verona, PA 15147-2725
Phone (412) 798-8366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090416000702 PA Practitioner - Clinical Social Worker 8325195993 Reassigns benefits to 1 organization
Practice locations: McKeesport, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrity Psychological Services, P.C.Group PAC ID 2668894940, 7 clinicians

Practice addresses (Care Compare)

4232 Northern Pike
Suite 201
Monroeville, PA 15146-2720
Phone 41266630061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mon Yough Community Services Inc Current Accepting new patients
Integrity Psychological Services, PC CurrentSince Mar 11, 2021 Accepting new patients

Locations

335 Shaw Ave
McKeesport, PA 15132
Phone (412) 586-2801

331 Shaw Ave
McKeesport, PA 15132
Phone (412) 664-6590

500 Walnut St
Fl 3
McKeesport, PA 15132
Phone (412) 675-6498

4232 Northern Pike
Ste 201
Monroeville, PA 15146
Phone (412) 663-0062

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1790727782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 HAMIL RD",
            "city": "VERONA",
            "state": "PA",
            "postal_code": "151472725",
            "telephone_number": "412-798-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 SHAW AVE",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322918",
            "telephone_number": "412-675-8850",
            "fax_number": "412-675-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELLEFROW",
        "first_name": "KENT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKeesport, PA

Sources for this page

Verify at the official NPI Registry.